Description:

Referral Specialist

Department:

Weight Loss and Nutrition

Position Purpose:

The Referral Specialist manages andfacilitatespatient referrals, authorizations, andschedulingappointments, tests, and procedures at designated locations. Serving as a liaison between patients, providers, and medical support staff, thereferralspecialist ensurestimelycoordination of care by verifying insurance eligibility, obtaining prior authorizations, and entering necessary demographic and insurance information into clinic and hospital systems. The role also includes handling phone communications, supporting referral management operations, and adhering to the mission, vision, and performance expectations ofMercyOneMedical Group.

Job Duties:

• Knows, understands, incorporates, anddemonstratesthe Trinity Health Mission, Vision, and Values in behaviors, practices, and decisions.

• Works directly with patients, families, insurance representatives, physicians, and vendors tofacilitatethe referral process.

• Coordinates, processes, and tracks patient referrals, authorizations, and scheduling with accuracy and attention to detail.

• Verifies insurance coverage, obtains prior authorizations, and communicates approval/denial to patients.

• Schedules patient appointments withappropriate specialistsand providers, ensuringtimelycommunication of appointment details.

Minimum Qualifications:

• High school diploma or equivalent required.

• Minimum of1year of relevant experience in a healthcare settingrequired, with prior medical office experience preferred.

Hours:

Full Time

40/week

Colleagues ofMercyOneHealth System enjoy competitive compensation with a full benefits package and opportunity for growth throughout the system!

VisitMercyOne Careersto learn more about the benefits, culture, and career development opportunities available to you atMercyOneHealth System’scircleofcare.